King, R.L. orcid.org/0000-0003-4012-0202, Carolan, C. and Robertson, S. (2024) COVID-19: a catalyst for change in remote and rural advanced clinical practice - a qualitative study. Journal of Integrated Care: Practical evidence for service improvement, 32 (1). ISSN 1476-9018
Abstract
Purpose
The purpose of this study is to explore the sustainability of innovations introduced during the coronavirus disease 2019 (Covid-19) pandemic in remote and rural primary care advanced clinical practice.
Design/methodology/approach
The methodology includes an exploratory qualitative study of eight key stakeholders from Scottish remote and rural primary care advanced practice (three policymakers and five advanced practitioners). Data were collected using semi-structured interviews during 2022 and analysed thematically.
Findings
Advanced practice in remote and rural primary care is characterised by a shortage of doctors, close-knit communities and a broad scope of practice. Covid-19 catalysed changes in the delivery of healthcare. Innovations which participants wanted to sustain include hybrid working, triage, online training and development, and increased inter-professional support networks.
Practical implications
Findings provide valuable insights into how best to support remote and rural advanced practice which may have implications for retaining healthcare professionals. They also identified useful innovations which could benefit from further investment.
Originality/value
Given current healthcare workforce pressures, identifying and sustaining innovations which will support and retain staff are imperative. Hybrid consultations and online access to training, development and support should be sustained to support the remote and rural advanced practice workforce. Further research should explore the sustainability of innovations introduced during the Covid-19 pandemic in other care contexts.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023, Emerald Publishing Limited. This is an author-produced version of a paper subsequently published in Journal of Integrated Care: Practical evidence for service improvement. This version is distributed under the terms of the Creative Commons Attribution-NonCommercial Licence (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. You may not use the material for commercial purposes. |
Keywords: | Advanced clinical practice; remote and rural settings; Covid-19; remote consultations; online training; primary care; qualitative interviews |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > Health Sciences School (Sheffield) |
Funding Information: | Funder Grant number FLORENCE NIGHTINGALE FOUNDATION UNSPECIFIED |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 11 Jul 2023 08:47 |
Last Modified: | 04 Oct 2024 13:19 |
Status: | Published |
Publisher: | Emerald |
Refereed: | Yes |
Identification Number: | 10.1108/JICA-03-2023-0014 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:201105 |